MEDICARE: DR. WILLIAM DAUGHERTY DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	3913	KY

General Provider Information

NPI Number	:	1497830525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM DAUGHERTY DMD

Provider Business Mailing Address
First Line	:	620 PERIMETER DR
Second Line	:	SUITE 207
City	:	LEXINGTON
State	:	KY
Zip	:	40517-4125
Country	:	US
Telephone Number	:	859-268-1190
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 PERIMETER DR
Second Line	:	SUITE 207
City	:	LEXINGTON
State	:	KY
Zip	:	40517-4125
Country	:	US
Telephone Number	:	859-268-1190
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1053317214 — GREGORY R ERENA DMD
Practice Location Address:

620 PERIMETER DR , STE 100
LEXINGTON, KY
40517-4125

Practice Phone: 859-268-4423
Practice Fax: 859-268-0010

1801893888 — GREGORY R. ERENA, P.S.C.
Practice Location Address:

620 PERIMETER DR , STE 100
LEXINGTON, KY
40517-4125

Practice Phone: 859-268-4423
Practice Fax: 859-268-0010

1568574416 — ELY HOME INFUSION INC.
Practice Location Address:

620 PERIMETER DR STE 105
LEXINGTON, KY
40517-4125

Practice Phone: 859-268-0080
Practice Fax: 859-268-0083

1871693036 — DR. DONALD A FALACE DMD
Practice Location Address:

620 PERIMETER DR , SUITE 200
LEXINGTON, KY
40517-4125

Practice Phone: 859-268-2332
Practice Fax: 859-268-8746

1669562013 — DR. WILLIAM G. FAIN, P.S.C.
Practice Location Address:

620 PERIMETER DR , SUITE 206
LEXINGTON, KY
40517-4125

Practice Phone: 859-269-5391
Practice Fax: 859-266-7701

1225113343 — DR. EDWARD TIPTON DMD
Practice Location Address:

620 PERIMETER DR
LEXINGTON, KY
40517-4125

Practice Phone: 859-268-1190
Practice Fax:

Directions to “ DR. WILLIAM DAUGHERTY DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.